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{ <br /> Ar on Laboratories Sample Recei t Checklist <br /> Client Name: <br /> Date&Time Received: ] <br /> project tJame: EQf r: n 3 �f- /2 <br /> .' �/ Client Project Number:t <br /> Recelvedi3y: Matrix: Water �J Sail ❑ Other <br /> Sample Carrier: Client (Laboratory ❑ Fed Ex ❑ UPS ❑ Other ❑ <br /> Argon Labs Project Number: 96 <br /> Shipper Container in good condition? Sufficient sample volume for requested lests?Yes t=i No ❑�' <br /> N/A [� Yes ❑ No <br /> ❑ Samples received within holding time? Yes No ❑ <br /> I Sarnples received under refrigeration? Yes No <br /> u ❑ Do samples contain proper preservative? <br /> N/A ❑ Yes No ❑ <br /> Chain of custody present? Yes No ❑ VOA vials with preservative? <br /> ` N/A ❑ Yes [� Na <br /> Chain of Custody signed by all parties? Yes No ❑ VOA vials preservative type: <br /> ,i <br /> HCl_ [� Na2S2CJ ❑ Other <br /> Chain of CLslody matches all sample[abels? Do VOA vials contain zero headspace? <br /> Yes No ❑ NIA ❑ YesNo <br /> t Sampies received in proper containers? Yes —/ No <br /> L] Samples received intact? Yes VNo �.i � <br /> �I <br /> i g ; ANY"No"RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted: Person Contacted: <br /> Contacted By: Subject: <br /> Comments: <br /> is <br /> F <br /> Action Taken; <br /> Ei <br /> ADDITIONAL.TEST(S)REQUEST!OTHER <br /> h Contacted.By: Date: Time: <br /> 4 Call Received By: <br /> :i <br /> Comments: <br /> 1 <br /> v.5.02 <br /> I <br />